title: Surgical treatment of elevated intracranial pressure: decompressive craniectomy and intracranial pressure monitoring.
abstract: Surgical techniques that address elevated intracranial pressure include (1) intraventricular catheter insertion and cerebrospinal fluid drainage, (2) removal of an intracranial space-occupying lesion, and (3) decompressive craniectomy. This review discusses the role of surgery in the management of elevated intracranial pressure, with special focus on intraventricular catheter placement and decompressive craniectomy. The techniques and potential complications of each procedure are described, and the existing evidence regarding the impact of these procedures on patient outcome is reviewed. Surgical management of mass lesions and ischemic or hemorrhagic stroke occurring in the posterior fossa is not discussed herein.
authors.affiliation: Department of Neurological Surgery, McGaw Medical Center, Northwestern University Feinberg School of Medicine, 676 North Saint Clair Street, Suite 2210, Chicago, IL 60611, USA.
authors.forename: Tarek Y
authors.initials: TY
authors.lastname: El Ahmadieh
authors.forename: Joseph G
authors.initials: JG
authors.lastname: Adel
authors.forename: Najib E
authors.initials: NE
authors.lastname: El Tecle
authors.forename: Marc R
authors.initials: MR
authors.lastname: Daou
authors.forename: Salah G
authors.initials: SG
authors.lastname: Aoun
authors.forename: Allan D
authors.initials: AD
authors.lastname: Nanney
authors.forename: Bernard R
authors.initials: BR
authors.lastname: Bendok
mesh_terms: D001930:Brain Injuries / Q000503:physiopathology / Q000601:surgery; D056424:Decompressive Craniectomy / Q000379:methods; D006801:Humans; D020300:Intracranial Hemorrhages / Q000150:complications / Q000601:surgery; D019586:Intracranial Hypertension / Q000503:physiopathology / Q000601:surgery*; D007427:Intracranial Pressure; D020521:Stroke / Q000150:complications / Q000601:surgery